Active NPI
Susan R. Dana, RNC, IBCLC
- Lactation Consultant (Registered Nurse)
- Prairie Village, KS
National Provider Identifier
1063623007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- 14-42410-062
- Practice address
- 5700 W 79TH St
Prairie Village, KS 66208-4604 - Phone
- (913) 710-7811
- NPI assigned
- May 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 14-42410-062 | KS | Primary |
Addresses
Primary practice location
5700 W 79TH St
Prairie Village, KS 66208-4604
Mailing address
5700 W 79TH St
Prairie Village, KS 66208-4604
Phone (913) 710-7811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14-42410-062 | Other | KS | KANSAS STATE BOARD OF NUR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-42410-062 | KS | MD | Lactation Consultant (Registered Nurse) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063623007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 W 79TH ST",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662084604",
"telephone_number": "913-710-7811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 W 79TH ST",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662084604",
"telephone_number": "913-710-7811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANA",
"first_name": "SUSAN",
"middle_name": "R.",
"credential": "RNC, IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "KS",
"license": "14-42410-062",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KANSAS STATE BOARD OF NUR",
"identifier": "14-42410-062",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Prairie Village, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.